Graduated: 2021
NPI: 1205406063
Practice Locations (3)
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
N5241 US HWY
Watersmeet, MI 499690009
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
N5241 US HWY
WATERSMEET, MI 499690009
9063584588
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
N5241 US HWY 45
WATERSMEET, MI 499695115
9063584587
Source: CMS National Downloadable File, September 2026.